The bi-articular hip prosthesis for fractures of the femoral neck-a preliminary report

The Royal East Sussex Hospital, Hastings, UK
Injury (Impact Factor: 2.14). 12/1983; 15(3):159-62. DOI: 10.1016/0020-1383(83)90004-9
Source: PubMed


The bi-articular hip prosthesis (BHP), based on an original design by Bateman, is a bi-polar hemi-arthroplasty which seeks to reduce acetabular wear. We have used this prosthesis to treat 101 elderly patients with displaced intra-capsular fractures of the neck of the femur. The results of the first two years experience with this prosthesis are encouraging. Post-operative hip pain was not significant and did not interfere with mobility. The use of the antero-lateral approach to the hip joint prevented dislocation of the prosthesis, in contra-distinction to reports of series in which the Southern approach was used.

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    ABSTRACT: We report a series of 640 consecutive cervical hip fractures which were followed prospectively for two years after primary internal fixation with two hook-pins. Secondary arthroplasties were performed as salvage procedures in 75 cases and the early outcome of these was studied retrospectively. The mean time in hospital was 25 days for prosthetic replacement, though 60% of the patients had other medical conditions considered as risk factors. Mortality was 5% after six months and 8% after one year. Dislocation was seen in 11% and additional surgery was required in 4%. There was one case of deep infection and one supracondylar femoral fracture. In some cases there was considerable delay between the primary and secondary operation due to lack of awareness of functional deterioration, but although many patients had poor mobility before the secondary operation this was greatly improved within six weeks of the arthroplasty. We conclude that elective secondary hip arthroplasty for failure of fracture fixation is a safe and successful procedure. Once the decision to perform an arthroplasty is taken, this should be done without delay to avoid deterioration of function.
    The Bone & Joint Journal 12/1989; 71(5):777-81. · 3.31 Impact Factor
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    ABSTRACT: A bi-articular prostheses was used to replace the femoral head in 323 patients over 7 years in an attempt to reduce the incidence of acetabular erosion, which has been reported by others who have used different types of prostheses. No erosion of the acetabulum has yet been found in our series, but from the point of view of cost, we consider that the use of this prosthesis should be restricted to active younger patients.
    Injury 10/1991; 22(5):391-3. DOI:10.1016/0020-1383(91)90102-K · 2.14 Impact Factor
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    ABSTRACT: The movement of 75 two-component hemi-arthroplasties, implanted following displaced subcapital fracture of the femoral neck, were examined radiologically in equal numbers of Hastings hips (22 mm), 22-mm Bi-articular hips and 32-mm Bi-articular hips. A classification of the movement of the two-component hemi-arthroplasty was devised. The 22-mm Bi-articular hips showed predominantly intraprosthetic movement compared with the 32-mm Bi-articular hips, where movement was mainly extraprosthetic, thus confirming in vivo the Charnley low friction principle. True bipolar movement was found predominantly in the Hastings hips. In selecting a two-component hemi-arthroplasty, the prosthesis of choice is therefore one with a 22-mm rather than a 32-mm femoral head.
    Injury 05/1993; 24(4):231-5. DOI:10.1016/0020-1383(93)90175-6 · 2.14 Impact Factor
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